Resources About Kellee Home

Fees

My fee for a 50 minute individual session is $120, with an additional $60 charged per 25 additional minutes in a session. For couple and family sessions my fee is $140 for the first 50 minutes, and $70 for each additional 25 minute period in the session. Sessions of at least 75 minutes are recommended for couples and families. First appointments, also called intake appointments, are generally 75 minutes for individuals and at least that for couples and families. Payment can be made by cash or check at the beginning of each session. If the amount of my fees precludes your seeking services we may be able to agree upon a reduced rate. I am open to seeing a limited number of clients at reduced rates at any given point in time so it will depend on whether one of those spots are available.

I do not bill insurance and am not currently an in-network provider with any insurer. However, I am happy to provide you with a statement that you can submit to your insurance provider to request reimbursement for an out-of-network provider. You will be responsible for the full fee at the time of the appointment. If your insurance provider agrees to reimburse you for services, they may also request copies of treatment records and an indication of a diagnosis. If you are considering this option I suggest you talk with your insurance provider to clarify 1) The nature of any treatment information they will seek and keep about you, and 2) The parameters of your out-of-network mental health coverage. 

Forms

Please print the intake form that is applicable to you from the following forms, as well as the Disclosure Statement and Informed Consent, and the Notice of Privacy Practices. The intake form is comprehensive. Please fill it out as completely as you can before arriving. Read the last two forms carefully and we will discuss any questions or concerns you have when we meet and sign them after we talk about them. For couples and families, each person participating should complete their own forms.


Forms are available in both Microsoft Word and Adobe PDF format; Click on the desired link below to download:​


Telemental Health Services Informed Consent:
Mindsight
Mindsight



Online Therapy Prep for clients:
Mindsight
Mindsight



Intake Questionnaire - Individual Therapy:
Mindsight
Mindsight



Intake Questionnaire - Couples Therapy:
Mindsight
Mindsight



Intake Questionnaire - Family Therapy:
Mindsight
Mindsight



Disclosure Statement and Informed Consent:
Mindsight
Mindsight



Notice of Privacy Practices:
Mindsight
Mindsight